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[Traumatic internuclear ophthalmoplegia]

A Feletti1, E Branchini, M Tartaglia

  • 1Divisione Oculistica, Ospedale Civile, Imola (Bologna), Italie.

Journal Francais D'Ophtalmologie
|January 1, 1994
PubMed
Summary
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Traumatic internuclear ophthalmoplegia, though uncommon, can result from head injuries. Magnetic resonance imaging is superior to computed tomography for diagnosing these specific eye movement disorders.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Radiology

Background:

  • Internuclear ophthalmoplegia (INO) is a rare condition typically caused by stroke or demyelination.
  • Traumatic INO following head injury is infrequently reported, potentially due to transient symptoms or overshadowing severe injuries.

Observation:

  • A case of INO following head trauma is presented.
  • Magnetic resonance imaging (MRI) revealed a lesion in the medial longitudinal fasciculus (MLF) in the early post-traumatic phase.

Findings:

  • Computed tomography (CT) scans performed at the time of injury did not detect the MLF lesion.
  • MRI demonstrated superior sensitivity in identifying the MLF lesion responsible for traumatic INO compared to CT.

Implications:

Related Experiment Videos

  • This case highlights the importance of considering traumatic INO in patients with head injuries.
  • MRI is the preferred imaging modality for diagnosing INO, especially in the context of trauma.
  • Understanding the pathophysiologic mechanism of traumatic INO can improve diagnostic accuracy and patient management.